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[Update in Surgical Oncology]

Daniel Clerc1, Didier Roulin1, Nicolas Demartines1

  • 1Service de chirurgie viscérale, CHUV, 1011 Lausanne.

Revue Medicale Suisse
|January 17, 2018
PubMed

Insights

Minimally invasive surgery for liver and esophageal cancer shows similar outcomes to open surgery. Advances in cancer therapies and perioperative care improve patient quality of life and reduce hospital stays.

Area of Science:

  • Surgical Oncology
  • Medical Oncology
  • Perioperative Care

Background:

  • Large multicentre randomized controlled trials (2017) evaluated minimally invasive techniques for liver and esophagus resection.
  • Progress in targeted therapies offers surgical options for initially non-resectable cancers.
  • Increased tumor response to neoadjuvant treatment enables organ-preserving surgery for rectal cancer.

Purpose of the Study:

  • To assess the safety and oncologic outcomes of minimally invasive surgical techniques compared to open surgery.
  • To highlight the impact of advancements in medical oncology and perioperative care on surgical patient management.
  • To demonstrate the benefits of enhanced recovery programs on patient outcomes and healthcare costs.

Main Methods:

  • Analysis of data from large multicentre randomized controlled trials.
  • Review of advancements in targeted therapies and neoadjuvant treatment protocols.
  • Evaluation of the impact of Enhanced Recovery After Surgery (ERAS) programs.

Main Results:

  • Minimally invasive liver and esophagus resection demonstrated similar oncologic outcomes to open approaches.
  • Targeted therapies have expanded surgical eligibility for patients with advanced disease.
  • Enhanced Recovery After Surgery (ERAS) programs significantly reduce hospital stay, costs, and postoperative complications.

Conclusions:

  • Minimally invasive surgical techniques are safe and effective for liver and esophagus resection.
  • Multidisciplinary cancer treatment, including medical oncology and surgical advancements, improves patient prognosis.
  • Optimized perioperative care and ERAS protocols enhance patient recovery and quality of life.

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